Key Differentiators 2017-10-19T16:45:46+00:00

Key Differentiator: Clinical Delivery

COORDINATED

Level 1 Minimal Collaboration

Key Differentiator: Clinical Delivery Screening and assessment done according to separate practice models Separate treatment plans Evidences-based practices (EBP) implemented separately

Level 2 Basic Collaboration at a Distance

Key Differentiator: Clinical Delivery Screening based on separate practices; information may be shared through formal requests or Health Information Exchanges Separate treatment plans shared based on established relationships between specific providers Separate responsibility for care/EBPs

Key Differentiator: Patient Experience

Level 1- Patient Experience

Patient Physical and behavioral health needs are treated as separate issues Patient must negotiate separate practices and sites on their own with varying degrees of success

Level 2 Patient Experience

Patient health needs are treated separately, but records are shared, promoting better provider knowledge Patients may be referred, but a variety of barrier prevent many patients from accessing care

Key Differentiator: Practice/Organization

Level 1- Practice/ Organization

No coordination or management of collaboration efforts Little provider buy-in to integration or even collaboration, up to individual providers to initiate as time and practice limits allow

Level 2- Practice/ Organization

Some practice leadership in more systematic information sharing Some provider buy-into collaboration and value placed on having needed information

Key Differentiator: Business Model

Level 1- Business Model

Separate funding No sharing of resources Separate billing practices

Level 2- Business Model

Separate funding May share resources for single projects Separate billing practices

Key Differentiator: Clinical Delivery

CO-LOCATED

Level 3 Basic Collaboration Onsite

May agree on a specific screening or other criteria for more effective in-house referral Separate service plans with some shared information that informs them Some shared knowledge of each other’s EBPs, Especially for high utilizers

Level 4 Close Collaboration Onsite with some System Integration

Agree on specific screening, based on ability to respond to results Collaborative treatment planning for specific patients Some EBPs and some training shared, focused on interest or specific population needs

Key Differentiator: Patient Experience

Level 3- Patient Experience

Patient health needs are treated separately at the same location Close proximity allows referrals to be more successful and easier for patients although who get referred may vary by provider

Level 4- Patient Experience

Patient need are treated separately at the same site, collaboration might include warm hand-offs to other treatment providers Patients are internally referred with better follow-up, but collaboration may still be experienced as separate services

Key Differentiator: Practice/Organization

Level 3-Practice/Organization

Organization leaders supportive but often co-location is viewed as a project or program Provider buy-in to making referrals work and appreciation of onsite availability

Level 4-Practice/Organization

Patient health needs are treated separately, but records are shared, promoting better provider knowledge Patients may be referred, but a variety of barrier prevent many patients from accessing care

Key Differentiator: Business Model

Level 3- Business Mode

Separate funding May share facility expenses Separate billing practices

Level 4- Business Mode

Separate funding, but may share grants May share office expenses, staffing costs, or infrastructure Separate billing due to system barriers

INTEGRATED

Level 5 Close Collaboration Approaching an Integrated Practice

Consistent set of agreed upon screening across disciplines, which guide treatment interventions Collaborative treatment planning for all shared patients EBPs shared across system with some joint Monitoring of health conditions for some patients

Level 6 Full collaboration in a Transformed/Merged Integrated Practice

Population-based medical and behavioral health screening is standard practice with results available to all and response protocols in place One treatment plan for all patients EBPs are team selected, trained and implemented across disciplines as standard practice

Key Differentiator: Clinical Delivery

Level 5 Clinical Delivery

Consistent set of agreed upon screening across disciplines, which guide treatment interventions Collaborative treatment planning for all shared patients EBPs shared across system with some joint Monitoring of health conditions for some patients

Level 6- Clinical Delivery

Population-based medical and behavioral health screening is standard practice with results available to all and response protocols in place One treatment plan for all patients EBPs are team selected, trained and implemented across disciplines as standard practice

Key Differentiator: Patient Experience

Level 5- Patient Experience

Patient needs are treated as a team for shared patients (for those who screen positive on screening measures) and saparately for others Care is responsive to identified patient needs by a team of providers as needed which feels like a one-stop shop

Level 6- Patient Experience

All Patient health needs are treated for all patients by a team, who function effectively together Patients experience a seamless response to all healthcare needs as they present, in a unified practice

Key Differentiator: Practice/Organization

Level 5- Practice/Organization

Organization leaders support integration, if funding allows and efforts placed in solving as many system issues as possible, without changing fundamentally how desciplines are practiced Nearly all provider engaged in integrated model. Buy-in may not include change in practice strategy for individual providers

Level 6- Practice/Organization

Organization leaders strongly support integration as practice model with expected change in service delivery, and resources provided for development Integrated care and all components embraced by all providers and active involvement in practice change

Key Differentiator: Business Model

Level 5- Business Model

Blended funding based on contracts, grants or agreements Variety of ways to structure the sharing of all expenses Billing function combined or agreed upon process

Level 6- Business Model

Integrated funding, based on multiple sources of revenue resources shared and allocated across whole practice Billing maximized for integrated model and single billing structure